Individual
BEAR L SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
232 GILL ST, ALCOA, TN 37701-2465
(865) 982-8060
Mailing address
9800 KRISTI DR, KNOXVILLE, TN 37922-5778
(618) 381-6512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000041605
TN
Other
Enumeration date
08/21/2020
Last updated
08/21/2023
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